Comparison Between Early and Delayed Removal of Urethral Catheter in Patients with Elective Cesarean Section

Sadia Din; Laila Habib; Nazia Liaqat

doi:10.70749/ijbr.v3i5.1394

Authors

Sadia Din Department of Obstetrics and Gynaecology, Lady Reading Hospital Peshawar, Pakistan.
Laila Habib Department of Obstetrics and Gynaecology, Lady Reading Hospital Peshawar, Pakistan.
Nazia Liaqat Department of Obstetrics and Gynaecology, Lady Reading Hospital Peshawar, Pakistan.

DOI:

https://doi.org/10.70749/ijbr.v3i5.1394

Keywords:

Urinary catheter removal, Elective cesarean section, Fever, Hematuria

Abstract

Background: Urinary catheterization after elective cesarean section is routine; nevertheless, when to remove the catheter might affect postoperative results. The early removal of the catheter is considered to minimize adverse consequences such as hematuria and urinary tract infections. Objective: To compare the frequency of adverse outcomes of early and delayed removal of the urethral catheter in patients with elective cesarean section at Lady Reading Hospital Peshawar. Study Design: Randomized controlled trial. Duration and Place of Study: This study was conducted from January 2024 to July 2024 at the Department of Obstetrics and Gynaecology, LRH Peshawar. Methodology: A total of 384 patients aged 18–40 years, with singleton pregnancies and a gestational age between 36 and 41 weeks, were included. The participants were randomly assigned to either the early removal group (catheter removed 2 hours postoperatively) or the delayed removal group (catheter removed 12 hours postoperatively). Adverse outcomes, specifically fever (defined as a body temperature >38°C) and hematuria (defined as ≥5 RBCs per high-power field in three consecutive centrifuged specimens), were monitored throughout the patients' hospital stay. Results: The mean age of participants was similar between groups. The early removal group had a fever incidence of 2.6%, while the delayed removal group had an incidence of 5.2%, but the difference was not statistically significant (p=0.292). Hematuria was significantly more frequent in the delayed removal group (50%) compared to the early removal group (21.4%) with a p-value of <0.001, indicating a strong association between delayed catheter removal and hematuria. Conclusion: Early removal of the urinary catheter following elective cesarean section significantly reduces the risk of hematuria, with no significant impact on the occurrence of fever.

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